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020 ▼a 9780438065178
035 ▼a (MiAaPQ)AAI10790512
035 ▼a (MiAaPQ)unc:17840
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 248032
0820 ▼a 614
1001 ▼a Swietek, Karen Elizabeth.
24514 ▼a The Patient-centered Medical Home: Impact on Racial/Ethnic Disparities in Quality of Care.
260 ▼a [S.l.] : ▼b The University of North Carolina at Chapel Hill., ▼c 2018
260 1 ▼a Ann Arbor : ▼b ProQuest Dissertations & Theses, ▼c 2018
300 ▼a 116 p.
500 ▼a Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
500 ▼a Adviser: Marisa E. Domino.
5021 ▼a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2018.
520 ▼a Objective: The objective of this research is to investigate the effects of the patient-centered medical home (PCMH) model on disparities in quality of care among populations with major depressive disorder (MDD) and comorbid chronic physical cond
520 ▼a Methods: Applying instrumental variable techniques to account for differential selection into treatment, we used generalized estimating equations and generalized linear models to determine the probability of receiving eight disease-specific qual
520 ▼a Results: We found that while PCMH enrollment may improve overall quality of care, the effect is inconsistent across racial groups and not always associated with reductions in racial/ethnic disparities in quality. We found no association between
520 ▼a Conclusions: Our findings suggest that the PCMH model alone may be insufficient to meet the needs of diverse patient populations. Providers and policymakers should consider racial/ethnic disparities and heterogeneous treatment effects explicitly
590 ▼a School code: 0153.
650 4 ▼a Public health.
690 ▼a 0573
71020 ▼a The University of North Carolina at Chapel Hill. ▼b Health Policy and Management.
7730 ▼t Dissertation Abstracts International ▼g 79-10B(E).
773 ▼t Dissertation Abstract International
790 ▼a 0153
791 ▼a Ph.D.
792 ▼a 2018
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997581 ▼n KERIS
980 ▼a 201812 ▼f 2019
990 ▼a 관리자